Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02017 | Date 23/06/2022 |
| Token No | SM/22-23/17823 27/01/2024 | Serial | 036 |
| Patient Name | Mrs. LINA SENGUPTA | Contact No | 8296454513 |
| Address | 178/C VIVEKANANDA SARANI BAIDYABATI M 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||